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Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture?

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dc.contributor.authorGarcía-Serrano, María Camila
dc.contributor.authorGarcía Guerrero, Luisa Fernanda
dc.contributor.authorGómez Gelvez, Amparo
dc.contributor.authorPinzón Rendón, Andrés Alberto
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Ortopedia y Traumatologíaspa
dc.contributor.javerianateacherPinzón Rendón, Andrés Alberto
dc.coverage.temporal2017
dc.date.accessioned2023-01-11T20:04:06Z
dc.date.available2023-01-11T20:04:06Z
dc.date.created2020-10-25
dc.description.abstractenglishIntroduction: Hip fractures are a pathology that have emerged as a major subject over the years, due to increased prevalence and the multiple surgical treatments involved. The characterization and classification of the lesion is essential for proper surgical planning, with anteroposterior (AP), lateral and traction radiograph of the hip, paramount for decision-making. Patients and methods: This is a retrospective concordance study of 64 patients with hip fracture who consulted the hospital between January and July 2017. Four radiographs were taken of each: AP, AP with traction, lateral and lateral with traction. This set of images was evaluated by 9 observers, with different levels of experience, to answer questions regarding the classification, emphasize in potential instability and requirement of other images. A statistical analysis of concordance between and within observers was performed using Cohen's kappa coefficient. Results: Of the 64 patients, 70.6% were women; the average age was 69.5 years. 82.8% presented a secondary fracture from falling from their own height. As the observer's experience increases, the need for traction radiograph decreases; interobserver kappa goes from 0.98 in experts to 0.01 in students. Traction radiograph is important in the diagnosis of potentially unstable fractures. Of the 1,503 radiographs with traction, 636 (42.38%) were classified as potentially unstable. And of the 708 without traction, 560 (79.1%) were classified as potentially unstable. Conclusions: Traction hip radiograph continues to be a useful tool in training environments to adequately classify an intertrochanteric fracture, considering it is a low-cost, minimal morbidity intervention, and is easily accessible. In similar studies, we found similar findings regarding the usefulness of traction to perform an adequate classification in people in training or in young orthopedists. It also influences to determine the potential instability, and this would modify the choice of the implant.spa
dc.description.comunidadPacientes con fractura de caderaspa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0002-7609-3675spa
dc.description.orcidhttps://orcid.org/0000-0002-4748-2356spa
dc.description.orcidhttps://orcid.org/0000-0002-6101-5869spa
dc.description.publindexA1spa
dc.description.quartilescopusQ1spa
dc.description.quartilewosQ2spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.sciencedirect.com/science/article/pii/S0020138320309098?via%3Dihubspa
dc.identifier.doihttps://doi.org/10.1016/j.injury.2020.10.089spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn0020-1383 / 1879-0267 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/62792
dc.language.isoengspa
dc.relation.citationendpage1449spa
dc.relation.citationissue6spa
dc.relation.citationstartpage1445spa
dc.relation.citationvolume52spa
dc.relation.ispartofjournalInjuryspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordHip fracturesspa
dc.subject.keywordEducationspa
dc.subject.keywordDiagnostic imagesspa
dc.subject.keywordConcordance studyspa
dc.subject.keywordTraction radiographspa
dc.titleDiagnostic imaging concordance study : are traction radiographs necessary in a hip fracture?spa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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